FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-703613
1. GENTEX CORPORATION POLITICAL ACTION COMMITTEE; THE
PO BOX 315C/O KENNETH LEE
CARBONDALE, PA 18407
NOTE: Address is different than previously reported
Email: szawislak@gentexcorp.comNOTE: Email address is different than previously reported
2. Date: 12/30/2010
3. FEC Committee ID #: C00386128 This committee is a separate segregated fund. Its connected organization is a CorporationAffiliated Committees/Organizations
Gentex CorporationPO Box 315
Carbondale, Pennsylvania 18407
Affiliated Relationship Code: Connected Organization
Custodian of Records:
Lee A Spaulding34 Hidden Brook Drive
Honesdale, PA 18431
Treasurer:
Stephen Zawislak118 FOX RUN CIRCLE
Clarks Summit, Pennsylvania 18411
Title: Product Manager
Phone # (570) 282-8336
Designated Agent(s):
Banks or Depositories
PNC Bank47 S Main Street
Carbondale, Pennsylvania 18407